NPIMap

Organization Active NPI

Ozark Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Ozark, AL
National Provider Identifier
1750337093
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OZARK HEALTH AND REHABILITATION, LLC
Practice address
312 Bryan Dr
Ozark, AL 36360-1120
Phone
(334) 774-2561
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip Cody Long
Title
Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

312 Bryan Dr
Ozark, AL 36360-1120

Mailing address

312 Bryan Dr
Ozark, AL 36360-1120
Phone (334) 774-2561

Other identifiers 2

IdentifierTypeStateIssuer
4753020SMedicaidAL
013212OtherALBCBS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021203000003 AL Part A Provider - Skilled Nursing Facility 8628986874 Practice locations: Ozark, AL

Skilled nursing facility certification: CCN 015208

Legal name
OZARK HEALTH AND REHABILITATION, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
Jun 16, 2023
Beds
149
Ownership / control type
Limited Liability Corporation
Multi-facility organization
NORTH PORT HEALTH SERVICES
Organization structure
LLCProprietary
Enrollment address
312 Bryan Dr
Ozark, AL 36360-1120
Nursing home name
OZARK HEALTH AND REHABILITATION, LLC
Affiliated entity
NHS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ozark Health and Rehabilitation, LLCCCN 015208
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149141.4 residents per day on average
Chain
NHS Management43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0993280Ozark Health and Rehabilitation312 Bryan Drive, Ozark, AL 36360Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Nov 8, 2002 5.32%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 33%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Indirect Ownership Interest Nov 8, 2002 5.32%
Julie H Richburg Individual Operational/Managerial ControlRegional Administrator Dec 11, 2014 33%
Managing Control - Governing BodyBoard Member Dec 11, 2014
James Norman Estes Individual 5% Or Greater Indirect Ownership InterestPresident/Treasurer Nov 8, 2002 89.36%
Corporate OfficerPresident/Treasurer Nov 8, 2002 100%
NHS Operations LLC Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 8, 2002 100%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Estes - McAbee Investments Organization, Tuscaloosa, AL LLC, For-profit 5% Or Greater Security Interest Jun 9, 2020
Bryan K Baggett Individual Operational/Managerial Control May 27, 2024
Managing Control - Governing BodyBoard Member May 27, 2024
Regions Bank Organization, Birmingham, AL Corporation, Financial institution, For-profit 5% Or Greater Security Interest Aug 27, 2012 15%
Sonya Gouge Individual Operational/Managerial ControlAdministrator Jun 6, 2017 100%
Adp of the SNF Feb 7, 2025

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1750337093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BRYAN DR",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601120",
            "telephone_number": "334-774-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BRYAN DR",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601120",
            "telephone_number": "334-774-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753020S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "013212",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.